2024 HESI RN EXIT CASE STUDY:
SCHIZOPHRENIA COMPLETE WITH NGN
QUESTIONS AND ANSWERS VERIFIED / A+
GRADE
Based on this assessment, what is the most important nursing intervention?
A. Establish rapport and trust.
B. Assess for hallucinations.
C. Maintain adequate social space.
D. Plan to give a PRN antipsychotic.
A. Establish rapport and trust.
Which behavior is characteristic of a thought disorder?
A. Blunted affect.
B. Irritability.
C. Lability of mood.
D. Preoccupation with guilty feelings.
A. Blunted affect.
The nurse understands that schizophrenia can be differentiated from psychosis by which assessment?
A. Disorganized speech.
B. Disorganized behavior.
C. Auditory hallucinations.
D. Negative symptoms.
D. Negative symptoms.
Which finding depicts negative symptoms of schizophrenia?
A. Difficulty sitting still.
B. Rapid and disorganized speech.
C. Flat affect and social inattentiveness.
D. Delusional statements.
C. Flat affect and social inattentiveness.
What is the most accurate assessment if the client believes that the healthcare providers are FBI
agents and that there are cameras in his apartment to monitor his moves?
A. Hallucinations.
B. Delusions.
C. Confabulation.
D. Thought broadcasting.
B. Delusions.
Which nursing problem has priority?
A. Ineffective community coping.
B. Disturbed thought processes.
C. Sensory-perceptual disturbance.
, D. Ineffective denial.
B. Disturbed thought processes.
What is the reason that Prolixin is prescribed for this client?
A. Disorganized thoughts.
B. Difficulty sleeping at night.
C. Feelings of depression.
D. Stabilize client's mood.
A. Disorganized thoughts.
The nurse understands that a client with schizophrenia will experience which benefit from
fluphenazine decanoate (Prolixin decanoate) if it is administered intramuscularly?
A. Prevent more extrapyramidal side effects.
B. Maintain long-term medication compliance.
C. Minimize side effects from benztropine (Cogentin).
D. Prevent risk of cardiac or renal disease.
B. Maintain long-term medication compliance.
What is the reason that fluphenazine decanoate is prescribed for this client?
Disorganized thoughts.
Which client behavior validates the need for involuntary hospitalization?
A. Beliefs about FBI surveillance.
B. Diagnosis of schizophrenia.
C. Violence towards family.
D. Guarded and suspicious.
C. Violence towards family.
Which nursing action is best?
A. Obtain a prescription to begin the benztropine..
B. Monitor Sam for medication side effects.
C. Ask Sam if he had any side effects from the Prolixin.
D. Do not give the Prolixin and document the reason.
A. Obtain a prescription to begin the benztropine.
Which side effects would the nurse most likely observe with fluphenazine (Prolixin), a traditional
antipsychotic?
A. High extrapyramidal effects, low anticholinergic effects.
B. High anticholinergic effects and low extrapyramidal effects.
C. Risk for agranulocytosis, fever, and elevated blood pressure.
D. Blood dyscrasias such as thrombocytopenia.
A. High extrapyramidal effects, low anticholinergic effects.
What type of reaction should the nurse suspect?
SCHIZOPHRENIA COMPLETE WITH NGN
QUESTIONS AND ANSWERS VERIFIED / A+
GRADE
Based on this assessment, what is the most important nursing intervention?
A. Establish rapport and trust.
B. Assess for hallucinations.
C. Maintain adequate social space.
D. Plan to give a PRN antipsychotic.
A. Establish rapport and trust.
Which behavior is characteristic of a thought disorder?
A. Blunted affect.
B. Irritability.
C. Lability of mood.
D. Preoccupation with guilty feelings.
A. Blunted affect.
The nurse understands that schizophrenia can be differentiated from psychosis by which assessment?
A. Disorganized speech.
B. Disorganized behavior.
C. Auditory hallucinations.
D. Negative symptoms.
D. Negative symptoms.
Which finding depicts negative symptoms of schizophrenia?
A. Difficulty sitting still.
B. Rapid and disorganized speech.
C. Flat affect and social inattentiveness.
D. Delusional statements.
C. Flat affect and social inattentiveness.
What is the most accurate assessment if the client believes that the healthcare providers are FBI
agents and that there are cameras in his apartment to monitor his moves?
A. Hallucinations.
B. Delusions.
C. Confabulation.
D. Thought broadcasting.
B. Delusions.
Which nursing problem has priority?
A. Ineffective community coping.
B. Disturbed thought processes.
C. Sensory-perceptual disturbance.
, D. Ineffective denial.
B. Disturbed thought processes.
What is the reason that Prolixin is prescribed for this client?
A. Disorganized thoughts.
B. Difficulty sleeping at night.
C. Feelings of depression.
D. Stabilize client's mood.
A. Disorganized thoughts.
The nurse understands that a client with schizophrenia will experience which benefit from
fluphenazine decanoate (Prolixin decanoate) if it is administered intramuscularly?
A. Prevent more extrapyramidal side effects.
B. Maintain long-term medication compliance.
C. Minimize side effects from benztropine (Cogentin).
D. Prevent risk of cardiac or renal disease.
B. Maintain long-term medication compliance.
What is the reason that fluphenazine decanoate is prescribed for this client?
Disorganized thoughts.
Which client behavior validates the need for involuntary hospitalization?
A. Beliefs about FBI surveillance.
B. Diagnosis of schizophrenia.
C. Violence towards family.
D. Guarded and suspicious.
C. Violence towards family.
Which nursing action is best?
A. Obtain a prescription to begin the benztropine..
B. Monitor Sam for medication side effects.
C. Ask Sam if he had any side effects from the Prolixin.
D. Do not give the Prolixin and document the reason.
A. Obtain a prescription to begin the benztropine.
Which side effects would the nurse most likely observe with fluphenazine (Prolixin), a traditional
antipsychotic?
A. High extrapyramidal effects, low anticholinergic effects.
B. High anticholinergic effects and low extrapyramidal effects.
C. Risk for agranulocytosis, fever, and elevated blood pressure.
D. Blood dyscrasias such as thrombocytopenia.
A. High extrapyramidal effects, low anticholinergic effects.
What type of reaction should the nurse suspect?
